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1164857173
SERENA D SULLIVAN
PORTLAND, OR
NPI
1164857173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-09-10
Last Update Date
2016-07-29
Business Address
-- SERENA D SULLIVAN
11035 NE SANDY BLVD
PORTLAND, OR 97220-2553
Phone number: 503-258-4200
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Mailing Address
-- SERENA D SULLIVAN
11035 NE SANDY BLVD
PORTLAND, OR 97220-2553
Phone number: 503-258-4200
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